Indiana 2025 Registration

Indiana 2025 Application Form

Name(Required)

First Last

Personal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Email(Required)

Confirm Personal Email(Required)

Phone(Required)

Name of School District or Organization(Required)

Name of School or Organization(Required)

School/Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School/Professional Email(Required)

Supervisor Name & Position(Required)

(E.g. Principal, Vice Principal, Academic Dean, Program Director, or Department Head)

Supervisor Email(Required)

How did you learn about the seminar?(Required)

Are you a current K-12 educator in the state of California?(Required)

Would you like to be considered for the Glazer Grant for California Educators to Advance Holocaust & Human Rights Education?(Required)

For California teachers only

How many years have you been a classroom teacher?(Required)

Please enter a number from 0 to 100.

If you are not a classroom teacher, how are you involved in the K-12 educational experience?(Required)

Which grade levels do you generally teach?(Required)

What subjects/courses do you generally teach?(Required)

Please explain how you currently teach about the Holocaust, civil rights, or human rights as part of these courses.(Required)

In the coming year, describe the amount of classroom time you anticipate being able to devote to these topics.(Required)

(E.g. Single vs. Multiple units, length of time, dedicated course, community event)

What draws you to the topic(s) of Holocaust/Human Rights/ Social Justice education?(Required)

What do you hope to accomplish as a result of attending the seminar?(Required)

Describe the context in which you teach and current issues facing your school and/ or community environment.(Required)

What unique perspective or background do you bring to this opportunity?(Required)